Wakeman, Jennifer M

Wakeman, Jennifer M is an individual health care provider with primary practice located at 12607 Se Mill Plain Blvd , Vancouver WA 98684. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Wakeman, Jennifer M can be contacted via phone (360) 896-4460.

Contact Information

Primary practice address
12607 Se Mill Plain Blvd Vancouver WA 98684
Phone: (360) 896-4460
Fax: (360) 896-4478
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH00009179 Washington
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CP00006159 Washington

Profile Details

NPI number 1629130299
LBN Legal business name Wakeman, Jennifer M
Credentials NCC, LMHC, SUDP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Dec 21st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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